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Enable NCPDP Billing - Registry Setting

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Avatar PM > Billing > Electronic Billing > NCPDP Billing

This is a facility-specific registry setting. Selecting 'Y' will enable the following NCPDP billing functionality:

  1. The choice "NCPDP" will be added to the Billing Form drop-down list in the Electronic Billing form. This allows you to choose to file the form for NCPDP bills.

  2. The form NCPDP System Defaults will be added to the System Definition menu.

  3. The fields BIN Number, Processor Control Number, and Plan ID will be added to the Guarantors/Payors form.

  4. The field Is This A Pharmacy Service? will be added to the Service Codes form.

  5. The dictionary choices "NCPDP - Medicare Part D" and "NCPDP - Other" will be added to the extended element System Financial Class off of the Financial Class dictionary. These new choices are used by the roll-up services worklist and eligibility verification processes.

All of these new items must be properly configured to generate NCPDP bills successfully.

Selecting 'N' will disable the NCPDP billing functionality and the above fields/choices from their respective forms.